An Unusual Cause of Intestinal Obstruction in a Young Adult Patient: Inflammatory Fibroid Polyp

Rais, Meryem; Chahdi, Hafsa; Elfahssi, Mohammed; Albouzidi, A.; Oukabli, Mohamed

doi:10.1155/2017/3675848

Cited by 4 publications

(1 citation statement)

References 19 publications

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“…In the gastrointestinal tract, IFPs can originate in various locations. They mostly occur in the gastric antrum (66%–75%) [ 1 ] followed by small bowel (18%–20%), with 4%–7% in the colorectal region, and 1% in the esophagus, duodenum, gallbladder and appendix each [ 8 ]. In a case series study of 76 patients by Johnstone and Morson revealed that 18% of IFPs were present in the small bowel [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Jan

Muslim

Ullah

et al. 2018

Annals of Medicine and Surgery

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Background and aimVanek's tumor is a rare solitary lesion that is non-neoplastic, and arises from the submucosa of the gut. The most commonly affected sites are the stomach and the ileum [1]. IFP causing intestinal obstruction is uncommon and that ileo-ileal intussusception has been reported in the literature rarely. We present a case of an ileo-ileal intessuception in a patient who presented with acute on chronic pain abdomen and anorexia. CT abdomen & pelvis revealed a 46 × 36 mm intraluminal mass in the left iliac fossa causing ileo-ileal intussusception.Case presentationA 60 years old gentleman was brought to the A&E with a history of intestinal obstruction. He was examined and admitted to the surgical unit. CBC revealed unique feature of reactive thrombocytosis apart from a low hemoglobin and a raised TLC. His CT scan demonstrated findings of ileo-ileal intussusception. After an informed written consent, patient underwent an exploratory laparotomy and had resection and anastomosis of the bowel. Histopathology of the specimen revealed findings compatible with IFP. Patient made an uneventful recovery post-operatively and was sent home in the next few days. On follow-up, the patient was doing well and had no complaints of abdominal pain or anorexia.ConclusionVanek's tumor although a rare entity, should be considered in each case of acute abdomen and physicians and surgeons need to have a high degree of suspicion in such cases. Moreover, IFP can cause reactive thrombocytosis that gets resolved after a post-operative period of 6–8 weeks.

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Section: Discussionmentioning

confidence: 99%

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Jan

Muslim

Ullah

et al. 2018

Annals of Medicine and Surgery

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Laparoscopic resection of two inflammatory fibroid polyps: An unusual cause of jejunojejunal intussusception

Park

Jee

Kim

2020

International Journal of Surgery Case Reports

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Adult Jejuno-jejunal intussusception due to inflammatory fibroid polyp

Kao¹,

Chen

2020

Medicine

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Rationale: Intussusception is defined as the invagination or telescoping of a proximal portion of the intestine into the distal portion of the intestine. Intussusception can occur at any age but is more common among children. Most cases of intussusception in adults have a pathological lead point. Inflammatory fibroid polyp (IFP) is a rare benign tumor-like lesion arising from the submucosa of the gastrointestinal tract that can cause intussusception in adults. Here, we report a case of adult intussusception due to IFP. We also present a literature review of 31 reports including 34 cases between 2012 and December 2019, which shows a mean age of 45.4 ± 14.2 years and female dominance (23/34) of intussusception due to IFP. Patient concerns: A 47-year-old man presented with a half-day history of epigastric abdominal pain. Physical examination revealed distension and tenderness of the upper abdomen. Computed tomography (CT) of the abdomen and pelvis demonstrated intussusception of the jejunum along with a suspicious jejunal mass associated with mesenteric lymphadenopathies. Diagnosis: Intussusception of the jejunum along with a suspicious jejunal mass, and histopathological examination of the resected specimen showed IFP. Interventions: The patient underwent emergency laparotomy. The intussusception was resected without attempts for reduction. Outcomes: The postoperative period was uneventful, and the patient was discharged on the fourth postoperative day. Lessons: Intussusception in adults is rare, especially that secondary to IFP. The most commonly used diagnostic tool for adult intussusception is abdominal CT, and the optimal management is resection of the involved bowel segment without reduction if malignancy cannot be ruled out.

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An Unusual Cause of Intestinal Obstruction in a Young Adult Patient: Inflammatory Fibroid Polyp

Cited by 4 publications

References 19 publications

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Vanek's tumor as an unusual cause of ileo-ileal intessuception – A unique case report

Laparoscopic resection of two inflammatory fibroid polyps: An unusual cause of jejunojejunal intussusception

Adult Jejuno-jejunal intussusception due to inflammatory fibroid polyp

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